May 2016
NutritioN
NewsletteR
Information and news for Care Homes
in the North East Essex Area
CREAM SHOTS
WHAT ARE CREAM SHOTS?
Cream shots are an easy and quick way to aid increasing a person's energy intake. These are a
great solution for those with a particularly small appetite and may not tolerate a large amount of
homemade smoothies/milkshakes. One mouthful a few times per day is all it takes!
WHY SHOULD YOU GIVE CREAM SHOTS?
Commonly used prescribed supplements include Pro Cal Shot (VitaFlo), Calogen (Nutricia) or
Fresubin 5KCAL Shot (Fresenius-Kabi), which provide between 130-160kcal per 40ml shot.
However, similar cream shots can be made within the care/nursing home setting, which can be
given 2-3 times per day as required. All the recipes overleaf have more calories per 40ml shot than
most prescribed products. They are easy to make, and taste really good!
WHEN SHOULD YOU GIVE CREAM SHOTS?
Any resident who has been identified as having a score of 1 and above using MUST can be given
Cream Shots in addition to the recommended Food First approach.
Why not try a cream shot round with your morning and afternoon tea trolley? These shots can be
served warm or cold.
NOW TAKE A LOOK AT OUR CREAM SHOT RECIPES OVERLEAF…
FEELING CREATIVE?
REMINDER
Why not invent your own recipes for Double
Cream Shots and get in touch to let us know
what is most popular with the residents in
your care home. Remember that double
cream must be the main ingredient. Get
creative with flavours and feedback from your
residents and we could feature your care
home and
recipes in
the Nutrition
Newsletter.
Please remember the new restrictions start on
May 1st 2016..
GP’s have now been informed of the new
restrictions to prescribing oral nutritional
supplements, and will be implementing the
new recommendations from the CCG.
The Community Dietitians will continue to
provide support and information.
The Community Dietetics Team
[email protected] tel: 01206 744552 fax: 01206 744492
CREAM SHOTS
1 DOSE = 40ml SHOT= 3 TABLESPOONS
EACH SHOT RECIPE MAKES 10-12 x 40ml shots
Nutritional information
PLAIN SHOTS (200kcal per 40ml shot)
Per 40ml shot
400ml double cream
3 tablespoons sugar
kCal: 200
Sugar: 2.2g
Simply mix in the sugar to the cream until dissolved.
PLAIN SHOTS WITH PROTEIN (185kcal, 2g protein per 40ml shot)
Per 40ml shot
300ml double cream
100ml whole milk
3 tablespoons sugar
4 tablespoons milk powder
kCal: 185
Protein: 2g
Sugar: 4.9g
Make a paste by adding a little cream to the milk powder and sugar until smooth, then slowly add the rest of the cream and milk to avoid
lumps. Serve hot or cold.
CHOCOLATE SHOTS (170kcal per 40ml shot)
Per 40ml shot
300ml double cream
100ml whole milk
3 tablespoons drinking chocolate powder
1 tablespoon sugar
kCal: 170 kcal
Sugar: 5.0g
Make a paste by adding a little cream to the chocolate powder and sugar until smooth, then slowly add the rest of the cream and milk to
avoid lumps. Serve hot or cold.
FLAVOURED SHOTS (185kcal per 40ml shot)
Per 40ml shot
350ml double cream
50ml whole milk
2 tablespoons milkshake powder (e.g. Nesquik)
2 tablespoons sugar
kCal: 185 kcal
Sugar: 2.1g
Make a paste by adding a little cream to the milkshake powder and sugar until smooth, then slowly add the rest of the cream and milk to
avoid lumps.
LEMON FLAVOURED SHOTS (185kcal per 40ml shot)
Per 40ml shot
300ml double cream
100ml whole milk
6 tablespoons lemon curd
kCal: 185 kcal
Sugar: 5g
Make a paste by adding a little cream to the lemon until smooth, then slowly add the rest of the cream and milk to avoid lumps.
(*)If dairy/lactose intolerant simply use full fat coconut milk as an alternative to cream/milk.(*)
DAIRY/LACTOSE FREE SHOTS (99kcal per 40ml shot)
400ml full fat coconut milk
3 tbsp sugar
Per 40ml shot
kCal: 99 kcal
Sugar: 2.56g
We recently asked MARMORA Care Home in Clacton to try out our new recipes for
Double Cream Shots. The staff went one step further and not only tried our recipes,
but created a few of their own double cream shot recipes. They also made an afternoon
of it by organising a ‘Happy Hour’ for their Residents who were asked to join the staff to
try the ‘shots’ and invited to pile on the calories’ in the most enjoyable way!!
We were bowled over by the enthusiasm of the staff at Marmora, a big thank you to all who were
involved and went to make this a very successful and calorific event!!
‘Everyone has been happy to participate in our SHOTS trial. We kicked off with a ‘SHOTS
HAPPY HOUR’ on 1st April 2016. This was much appreciated and enjoyed by residents and
staff. We made sure that we recorded our resident’s favourite flavours and have been offering
the drinks three times daily since then.
Several flavours were trialled such as vanilla, Baileys, honey, Grenadine, caramel, strawberry,
rose, chocolate, lemon curd and orange. We also made ice-lollies from the SHOT mixture
flavoured with caramel and vanilla, these too were very popular.
The outcome was a complete surprise …………..the favourite flavour is Bailey’s !
The majority of residents are still participating in this trial and we are recording all of this
along with what they weighed at the start of the month and will compare this at the end of the
month to see what difference the shots have made. We will advise anyone interested in what
the results are at the beginning of May. Should anyone wish to trail this in their home we
would be happy to email information such as copies of the posters, recording charts and what
.’
ingredients were used etc
Gill Finch-Manager at Marmora Care Home
WELL DONE TO ALL THE STAFF AT MARMORA CARE HOME!!
Community Dietitians
The Community Dietetics Team
[email protected] tel: 01206 744552 fax: 01206 744492
MILK
PUDDINGS
‘Milk puddings’ is the general term applied to any pudding made with milk and cereal of some
type. Milk puddings can be found all over the world and vary greatly. Rice is the most popular
grain to use in milk puddings. Other grains used in milk puddings include semolina and sago.
RICE PUDDING
Rice pudding is a traditional and very popular dessert in the UK. It is usually made with
pudding rice, milk, cream and sugar. Rice pudding was first made in Asia and over thousands
of years various recipes have developed. In Europe, rice pudding made with goats’ milk was
first used by the Romans for medicinal purposes and in the16th Century in Denmark it was
considered a luxury dish, as rice was an item only afforded by the rich. Over centuries the
European recipe has been simplified resulting in the modern version.
There are now a wide variety of different types of rice pudding. Some are enriched by the
addition of egg or made more interesting by the addition of dried, fresh or canned fruit and
even chocolate. Jams and marmalades are also often added to rice pudding. Rice pudding can
be flavoured with vanilla, nutmeg or cinnamon and enjoyed hot or cold.
OLD FASHIONED
BAKED RICE PUDDING
GOOD
900ml full fat fortified
Prep time 5 min/Cook time 2hrs
Makes
milk
4 portions
300ml double cream
5 oz pudding rice
4 oz castor sugar
Per serving:
686kcal/11.5g protein
knob of butter
1/ Preheat the oven to 140C/Gas 2. Butter a large ovenproof dish.
2/ Bring the milk/cream to a simmer in a saucepan.
Stir in the rice and sugar. Pour the milk and rice mixture into the ovenproof dish. Top
with the knob of butter and sprinkle with nutmeg to taste.
3/ Bake in the preheated oven for 1.5 to 2 hours. Stir the pudding halfway through baking.
The Community Dietetics Team
[email protected] tel: 01206 744552 fax: 01206 744492